HIV patient retention
The implementation of a North Carolina clinic-based protocol
Bibliographic Data
| ID | 19442006 |
|---|---|
| Authors | Jennifer Keller (0009-0008-7183-819X, Wake Forest University, corresponding author), Amy Heine (University of North Carolina at Chapel Hill), Anna LeViere (University of North Carolina at Chapel Hill), Anna Finestone LeViere, Jenna Donovan (0000-0002-2793-0457, NC Department of Health and Human Services), Aimee Wilkins (0000-0003-2435-4738, Wake Forest University), Aimee Wilkin, Kristen Sullivan (0000-0002-0796-078X, Duke University), E Byrd Quinlivan (0000-0002-1213-8707, University of North Carolina at Chapel Hill) |
| Year | 2017 |
| Volume | 29 |
| Issue | 5 |
| Pages | 627-631 |
| Publication date | 2017-05-04 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2016.1226478 |
| PMID | 27590445 |
| OpenAlex | W2509809222 |
| Language | EN |
| Citations received | 6 |
| References cited | 11 |
Decreased visit attendance leads to poor health outcomes, decreased viral suppression, and higher mortality rates for persons living with HIV. Retention in care is an important factor in improving health status for people living with HIV but continues to be a challenge in clinical settings. This paper details the development and implementation of the NC-LINK Retention Protocol, a clinic-based protocol to locate and reengage out-of-care patients, as part of overall clinic retention efforts. The protocol was implemented as one of four interventions of the NC-LINK Systems and Linkages Project, a multi-site initiative funded by the HIV/AIDS Bureau and the Special Projects of National Significance. Lists of out-of-care patients who had not received HIV medical care in over nine months and did not have a future appointment were created each month. Patient navigators, case managers, and other staff then followed a standardized protocol to locate and reengage these patients in care. A total of 452 patients were identified for reengagement services. Of those, 194 (43%) returned to care, 108 (24%) had another definitive outcome (incarcerated, deceased, or relocated) and 150 (33%) were referred for additional follow-up to locate and reengage in care. In summary, 67% of patients were located through the efforts of the clinic staff. The results of this intervention indicate that it is possible to successfully integrate a protocol into the existing infrastructure of a clinic and reengage a majority of out-of-care patients into medical care
Alternative medicine · Attendance · Family medicine · Health care · Pathology · Psychological intervention · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing
Closing the Loop” Developing State-Level Data Sharing Interventions to Promote Optimum Outcomes Along the HIV Continuum of Care
Characteristics of Out-of-Care Patients Who Required a Referral for Re-engagement Services by Public Health Bridge Counselors Following a Brief Clinic-Based Retention Intervention
Toward An Enhanced Understanding of HIV Patient Navigation as a Health Care Intervention
Past Care Predicts Future Care in Out-of-Care People Living with HIV
Implementation of Lost & Found, An Intervention to Reengage Patients Out of HIV Care
Where did they go? Describing and reengaging people with HIV lost to follow-up in the Piscis Cohort Study
| Citations per year | 0.75 |
|---|---|
| Citation span | 2018 - 2025 (8) |
| Highly cited | No |